Public Health Agency of Canada – Public health officials provide an important public service responding to community concerns around cancer and often receive requests to investigate patterns of cancer incidence and communicate findings with citizens. In this study, procedures were identified for Canadian public health officials (PHOs) to follow when investigating reports of cancer clusters, and the challenges officials have faced when conducting risk communication with communities were explored. Differences in practices used to investigate suspected cancer clusters by PHOs were revealed. Establishing pan-Canadian guidelines could improve procedural consistency across jurisdictions and offer enhanced opportunities to compare cluster responses for evaluation. A reporting system to track reported clusters may improve information sharing across all levels of governments.

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As a national organization, our work extends across borders into many Indigenous lands throughout Canada. We gratefully acknowledge that our host institution, the University of British Columbia Point Grey campus, is located on the traditional, ancestral and unceded territories of the xʷməθkʷəy̓əm (Musqueam) people.